| NPI | 1508241894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIS STELLA FRAGA President/Chiropractor 551-655-0103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ 38MC00728400) |
| Enumeration Date | 2015-07-28 |
| Last Update Date | 2015-07-28 |